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Declaration: by submitting this assessment (Parts 1 – 4) for marking I declare that it is entirely my own work. I
understand that falsely claiming that the work is my own is malpractice and can lead to NEBOSH imposing
severe penalties (see the NEBOSH Malpractice Policy for further information).
Part 1: Background
Include in here the organisation’s name* and location* and number of workers. You
must then go on to give a description of the main activities/products/services carried
out. You must also describe the area to be risk assessed eg, whole site, and anything
else that you consider relevant (approximately 150 to 200 words):
* If you’re worried about confidentiality, you can invent a false name and location for your
organisation but, all other information provided must be factual.
Learner number: Learner name:
Sheet of
You must now give a brief outline on how you completed the risk assessment
(approximately 200 words):
Part 2: Risk Assessment
Hazard Category
and hazard
Who might be
harmed and how
What further
controls/actions are
required?
Timescales for
further actions to be
completed (within…x
months)
Responsible
person’s job title
Part 3: Prioritise three actions and justification for the selection
You must pick the three highest priority/most urgent actions and justify your choice. Your
justification must include moral, legal and financial arguments (500 to 700 words); consideration
of likelihood and probable severity of injury, ill-health and/or harm (150 to 250 words);
description of how effective each action is likely to be in controlling the risk (250 to 350 words).
Part 4: Review, communicate and check
Learner number: Learner name:
Page of
You must now give a review date for your risk assessment and say why you have chosen this
date (10 to 50 words).
Learner number: Learner name:
Page of
You must now indicate how the risk assessment findings will be communicated (including who
needs to know the information) (100 to 150 words).
Learner number: Learner name:
Page of
You must now indicate how you will follow-up on the risk assessment to check that the actions
have been carried out (100 to 150 words).